Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › GA › Elberton › NPI 1891863569
Clinic

The Medical Center of Elberton, LLP

The Medical Center of Elberton, LLP was paid $5.16M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoTHE MEDICAL CENTER OF ELBERTON, LLP
ELBERTON, GA 30635
33aNPI1891863569assigned 12/01/2006
28Total paid$5.16M
24GClaims100,929
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201817,105$819K
201917,443$818K
202013,635$613K
202116,131$787K
202214,751$835K
202314,064$823K
2024incomplete7,800$463K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 44,241 38,014 $2.79M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30% 25,556 22,637 $1.54M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.3% 4,106 3,641 $273K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 3,555 3,138 $80K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.5% 1,822 1,686 $78K
99308 Subsequent nursing facility care, per day, straightforward 1.5% 3,926 3,338 $77K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 1,102 990 $77K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.0% 755 682 $53K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 737 670 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 535 516 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 515 455 $35K
S9083 Global fee urgent care centers <1% 383 356 $35K
36 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,487 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 176 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 74 $5K
99215 Doctor's office visit, returning patient (complex) <1% 58 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 46 $769.01
0002A <1% 15 $375.68
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 713 $329.85
90686 <1% 353 $157.61
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,191 $139.92
36415 Collection of venous blood by venipuncture <1% 290 $60.45
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,664 $54.28
90715 <1% 215 $35.65
3074F <1% 176 $25.02
3078F <1% 156 $25.01
81025 <1% 36 $23.88
90694 <1% 155 $20.00
87802 <1% 1,464 $13.57
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,013 $9.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 61 $5.20
81003 0% 931 $0.00
90710 0% 180 $0.00
90670 0% 666 $0.00
90671 0% 104 $0.00
90734 0% 375 $0.00
90633 0% 209 $0.00
90700 0% 56 $0.00
90649 0% 39 $0.00
71046 Radiologic examination, chest; 2 views 0% 15 $0.00
90685 0% 13 $0.00
90723 0% 145 $0.00
90647 0% 367 $0.00
90680 0% 111 $0.00
90697 0% 42 $0.00
81001 0% 69 $0.00
90657 0% 18 $0.00
3079F 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHALL, BROOKE (PRACTICE ADMINISTRATOR)